NPI | 1194164004 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN MCCLEARY Owner/Therapist 231-944-0632 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801072603) |
Enumeration Date | 2013-06-25 |
Last Update Date | 2024-09-30 |